| NPI | 1255818001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101287904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.245593) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2026-07-17 |